Healthcare Provider Details

I. General information

NPI: 1427020569
Provider Name (Legal Business Name): EUNICE REHABILITATION HOSPITAL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 N HOSPITAL DR SECOND FLOOR
ABBEVILLE LA
70510-4039
US

IV. Provider business mailing address

2325 WEYMOUTH DR SUITE A
BATON ROUGE LA
70809-1481
US

V. Phone/Fax

Practice location:
  • Phone: 337-898-8800
  • Fax: 337-898-8801
Mailing address:
  • Phone: 225-216-2299
  • Fax: 225-216-2279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code283X00000X
TaxonomyRehabilitation Hospital
License Number395
License Number StateLA

VIII. Authorized Official

Name: MR. DAMIAN KIRK SOILEAU
Title or Position: PRESIDENT AND COO
Credential:
Phone: 225-216-2299